Attachment A - COST PROPOSAL FORM2.xlsx

This is a cost proposal form for the Firefighters Annual Physicals contract issued by the Western Health Facilities Research and Training Consortium (WHFRTC) under RFP Number 095 2400000469. The solicitation requests pricing for a comprehensive range of occupational health services and laboratory tests to support firefighter physical examinations. The services include standard laboratory work such as complete blood count (CBC), comprehensive metabolic panel (CMP), lipid profile, and specialized baseline testing for lead and mercury levels, along with clinical services including chest X-rays with radiologist readings, electrocardiograms (EKG) with interpretation, pulmonary function testing (PFT), dot physical examinations, urine drug screening using a nine-panel test, and venipuncture/blood draw procedures.

The cost proposal form requires vendors to provide unit pricing for each individual service line item listed. The document appears to contain formatting errors and incomplete data fields, as indicated by error references (#REF!) in several cells, suggesting this may be a template or draft version requiring completion by responding vendors. Vendors must submit their pricing structure for each medical service and test to enable WHFRTC to evaluate proposals on a cost-per-service basis for the firefighter physical examination program.